| Dr Steven Lee Nottleson, OD | |
|
1545 Main St, Marinette, WI 54143-1334 | |
| (715) 735-3012 | |
| (715) 735-3636 |
| Full Name | Dr Steven Lee Nottleson |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 1545 Main St, Marinette, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215996723 | NPI | - | NPPES |
| 1871667220 | Other | GROUP NPI | |
| 39-1548019 | Other | TAX ID | |
| DG8179 | Other | GROUP PTAN | |
| 38523200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 1960-035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Lee Nottleson, OD 2782 S Memorial Dr, Green Bay, WI 54313-6204 Ph: (920) 562-0408 | Dr Steven Lee Nottleson, OD 1545 Main St, Marinette, WI 54143-1334 Ph: (715) 735-3012 |
Congdon Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3003 Cleveland Ave, Suite A, Marinette, WI 54143 Phone: 715-732-2101 | |
Dr. Kevin Congdon, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3003 Cleveland Ave, Suite A, Marinette, WI 54143 Phone: 715-732-2101 | |
Corgan Vision Clinic, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2706 Cahill Rd Ste E, Marinette, WI 54143 Phone: 715-330-5570 Fax: 715-330-5369 | |
Dr. Andrew Congdon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3003 Cleveland Ave, A, Marinette, WI 54143 Phone: 920-883-0632 | |
Alex J Schoen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1507 Main St, Marinette, WI 54143 Phone: 715-735-9593 | |
Dr. Timothy Corgan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1400 University Dr, Suite 101, Marinette, WI 54143 Phone: 715-732-4181 |